Individual
DR. JUSTIN KEITH ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4926 42ND AVE N, ROBBINSDALE, MN 55422-1731
(763) 537-3927
(763) 537-1421
Mailing address
4926 42ND AVE N, ROBBINSDALE, MN 55422-1731
(763) 537-3927
(763) 537-1421
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4338
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00054752
RR MEDICARE
MN
Enumeration date
10/19/2006
Last updated
12/17/2007
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